MARIA IMELDA BAUTISTA MD NPI 1073676458

NPI Information

NPI: 1073676458
Provider Name: MARIA IMELDA BAUTISTA, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
1303 HENRY CLAY AVENUE
NEONATAL MEDICAL GROUP
NEW ORLEANS, LA
ZIP 70118
Phone: (504) 896-2229
Get Directions

Maria Imelda Bautista, MD is a neonatal-perinatal medicine pediatrics in New Orleans, LA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Maria Imelda Bautista, MD NPI is 1073676458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1303 HENRY CLAY AVENUE
NEONATAL MEDICAL GROUP
NEW ORLEANS, LA
ZIP 70118
Phone: (504) 896-2229
Fax: (504) 896-8835

The enumeration date for this NPI number is 12/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	07109R	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	52731	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
2	1361852	MEDICAID	LOUISIANA
3	D79795	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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